Evidence map›Paper›PMID 37545874›Full record

ArticlePalliative care and social practice2023

'It's not just about me': a qualitative study of couples' narratives about home death when one of the partners is dying of cancer.

Margareta Aurén-Møkleby, Lisbeth Thoresen, Anne Marit Mengshoel, Kari N Solbrække, Gunvor Aasbø

Abstract read
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Article in Palliative care and social practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Margareta Aurén-MøklebyInstitute of Health and Society, University of Oslo, Postboks 1089 Blindern, 0317 Oslo, Norway.ORCID https://orcid.org/0000-0001-9091-3126
Lisbeth ThoresenInstitute of Health and Society, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0003-3617-9770
Anne Marit MengshoelInstitute of Health and Society, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0003-1800-4440
Kari N SolbrækkeInstitute of Health and Society, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0003-2684-5397
Gunvor AasbøInstitute of Health and Society, University of Oslo, Oslo, NorwayDepartment of Research, Cancer Registry of Norway, Oslo, Norway.ORCID https://orcid.org/0000-0002-8981-5374

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Most cancer patients state a preference for home death. Care and support from primary caregivers are important to enable dying at home. A preference for home death from the perspective of couples has rarely been investigated. Objectives: To explore how a preference for home death is understood and enacted in couples where one of the partners is dying of cancer. Design: A qualitative interview research design with a narrative approach was used. Methods: Five couples participated in dyad interviews. During the analysis, two interviews that particularly illuminated couples' shared and individual views were chosen as the primary cases. Results: The interviews show, in two highly different ways, how a preference for home death is a significant relational matter. The interviews are presented as two cases: 'Struggles in an Unknown Terrain' and 'Reliance at the Kitchen Table'. They show how a preference for home death can be understood and enacted as a struggle or as reliance based on the couple's shared biography and the partner's ability to care for the partner during the end-of-life phase. The analysis highlighted the negotiations that underpin a preference for home death. In these negotiations, the couples drew on idealised understandings of home death. These ideas were supported by cultural values related to autonomy and independence as well as participation and citizenship. Thus, in the negotiations about being cared for and caring, legitimate dependency and the maintenance of a reciprocal relationship were balanced. The presence of healthcare professionals and medical devices in the home had to be balanced with the need to maintain a sense of self and an authentic home. Conclusion: A relational perspective on a preference for home death made us attentive to couples' negotiations. These negotiations give couples the opportunity to re-evaluate and reconfirm individual and mutual needs in the end-of-life phase.

Indexed as

cancercaregiverscouplesend-of-life carehomehome deathnarrative analysispalliative carepatient and partner dyadspreference for place of death

Identifiers

PMID37545874
PMCPMC10399270

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.